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Deficiency Records for Fair Oaks Nursing and Rehab LLC

A list of the most recent deficiencies for Fair Oaks Nursing and Rehab LLC. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Fair Oaks Nursing and Rehab LLC. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-08-15 2024-08-15 Y
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Health 2024-08-15 2024-08-15 Y
Provide and implement an infection prevention and control program. Health 2024-08-15 2024-08-15 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-07-10 2024-08-09 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-07-10 2024-08-09 Y
Provide and implement an infection prevention and control program. Health 2024-07-10 2024-08-09 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2024-06-27 2024-08-01 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2024-06-27 2024-08-01 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-06-27 2024-08-01 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2024-06-27 2024-08-01 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-06-27 2024-08-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-06-27 2024-08-01 N
Provide and implement an infection prevention and control program. Health 2024-06-27 2024-08-01 N
Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. Health 2024-06-27 2024-08-01 Y
Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. Health 2024-06-27 2024-08-01 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2024-06-26 2024-08-01 N
Provide properly protected cooking facilities. Fire Safety 2024-06-26 2024-08-01 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-06-26 2024-08-01 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-06-26 2024-08-01 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-06-26 2024-08-01 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2024-06-26 2024-08-01 N
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Health 2024-04-26 2024-05-14 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-04-17 2024-05-05 Y
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2023-09-27 2023-10-20 N
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2023-09-27 2023-10-20 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-09-27 2023-10-20 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2023-09-27 2023-10-20 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-09-27 2023-10-20 N
Ensure that the resident and his/her doctor meet face-to-face at all required visits. Health 2023-09-27 2023-10-20 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-09-27 2023-10-20 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-09-27 2023-10-20 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-09-27 2023-10-20 Y
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-09-27 2023-10-20 Y
Have restrictions on the use of flammable curtains. Fire Safety 2023-09-26 2023-10-20 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-09-26 2023-10-20 N
Implement emergency and standby power systems. Fire Safety 2023-09-27 2023-10-20 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-07-28 2023-08-28 Y
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2023-07-28 2023-08-28 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2023-07-28 2023-08-28 Y
Provide and implement an infection prevention and control program. Health 2023-07-28 2023-08-28 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-03-31 2022-05-09 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-03-31 2022-05-09 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-03-31 2022-05-09 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-03-31 2022-05-09 N
Provide and implement an infection prevention and control program. Health 2022-03-31 2022-05-09 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-02-23 2022-02-14 Y

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